Search results for "Syncope"
Studies examine effectiveness of financial incentives in primary care
Two randomized trials suggest that certain financial incentives may be associated with some clinical improvements in primary care, although both the study authors and editorialists said that additional research is needed.
https://immattersacp.org/weekly/archives/2013/09/17/1.htm
17 Sep 2013
Tamsulosin for BPH associated with hospitalizations for hypotension
Tamsulosin for benign prostatic hyperplasia (BPH) may be associated with about twice the rate of severe hypotension requiring hospitalization during the first 8 weeks of treatment and the first 8 weeks after restarting treatment, researchers found.
https://immattersacp.org/weekly/archives/2013/11/19/5.htm
19 Nov 2013
The latest issue is online
The November issue of ACP Hospitalist is online.
https://immattersacp.org/weekly/archives/2013/11/19/12.htm
19 Nov 2013
MKSAP Quiz: 2-month history of fatigue, anorexia and weight loss
A 74-year-old woman is evaluated for a 2-month history of fatigue, anorexia, and a 6-kg (13.2-lb) weight loss. She was treated with chemotherapy for ovarian cancer 6 months ago. She also has hypertension managed with hydrochlorothiazide. Following a physical exam and lab results, what is the most likely cause of this patient's hyponatremia?
https://immattersacp.org/weekly/archives/2013/11/26/3.htm
26 Nov 2013
MKSAP Quiz: ED evaluation for acute onset of pain
A 37-year-old woman is evaluated in the emergency department for the acute onset of pain after 2 weeks of bloody diarrhea. The diarrhea has escalated to 15 times per day. She has ulcerative colitis that was diagnosed 2 years ago. She currently takes azathioprine. On physical examination, she appears ill. Following aggressive fluid resuscitation, temperature is 38.9° C (102.0° F), blood pressure is 70/40 mm Hg, pulse rate is 148/min, and respiration rate is 35/min. Abdominal examination discloses absent bowel sounds, distention, and diffuse marked tenderness with mild palpation. Following lab studies and the results of a radiograph, what is the most appropriate management?.
https://immattersacp.org/archives/2014/01/mksap.htm
1 Jan 2014
New drugs approved for type 2 diabetes and COPD
This regulatory update covers dapaglifozin (Farxiga) a sodium-glucose co-transporter 2 inhibitor, to treat diabetes, and umeclidinium and vilanterol inhalation (Anoro Ellipta) for maintenance of chronic obstructive pulmonary disease.
https://immattersacp.org/archives/2014/03/fda.htm
1 Mar 2014
PERSPECTIVES 4 ACPINTERNIST Major guidelines on hypertension released last ...
Shehas no shortness of breath, nausea orvomiting, syncope, previous history ofchest pain, or known cardiac disease orrisk factors for venous thromboem-bolism.
https://immattersacp.org/archives/2014/04/acpi-201404-puzzle_t1.pdf
25 Mar 2014
MKSAP Quiz: ED evaluation for midsternal pain
A 59-year-old woman is evaluated in the emergency department for midsternal chest pain. The pain began several hours ago as a vague ache in her left upper sternal region that progressed in intensity and severity. The pain abated spontaneously after approximately 45 minutes. She had no further chest pain until several hours later, when it recurred unprovoked by exertion. She has no shortness of breath, nausea or vomiting, syncope, previous history of chest pain, or known cardiac disease or risk factors for venous thromboembolism. Medical history is significant for hyperlipidemia and hypertension. She does not smoke cigarettes. Medications are simvastatin, aspirin, lisinopril, and hydrochlorothiazide. Following a physical exam, electrocardiogram and chest radiograph, what is the most appropriate initial management?.
https://immattersacp.org/archives/2014/04/mksap.htm
1 Apr 2014
Doripenem not for pneumonia; migraine device approved
This update covers a labeling change for doripenem (Doribax) and a warning about risk of death for ventilator patients with pneumonia, among other regulatory actions.
https://immattersacp.org/archives/2014/05/fda.htm
1 May 2014
Expert gives advice on perioperative medication management
Much confusion remains about perioperative management of anticoagulants, even though the drugs have been available for several years. And they are only going to become more prevalent, an expert said.
https://immattersacp.org/archives/2014/06/perioperative.htm
1 Jun 2014